scholarly journals Pengurangan Aktivitas Non-Value AddedDalam Alur Proses Pelayanan Kesehatan Dengan Pendekatan Lean Six Sigma

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Rafika Hayati ◽  
Gesit Thabrani

Purpose- This study aims to reduce Non-Value Activities in the Health Service Process flow using Lean Six Sigma Approach in the Outpatient department of LubukBuaya Health Center.Methodology - The research reported in this paper is based on a case study carried out using the lean six sigma DMAIC (Define-Measure-Analyze-Control) approach and its application in to reducing non-value activities in the health service process flowin the outpatient department of LubukBuaya health center in Padang. The analytical tools used in this study include value stream mapping, process capability, and fishbone diagram.Finding - From the results of the analysis and research that has been done it turns out thatThe lead time needed in the flow of the outpatient service process is 82.74 minuteswith percentage of process cycle efficiency is 15,03%, it means that the service process to the outpatients is not yet efficient. It is caused by several factors such as there is no online registration application, the number of visits increases at certain hours, and use of the patient's electronic database that is not optimal. Keywords:     Reduce, Non-Value Activities,  Lean six sigma, DMAIC, Health service, Outpatient.

2016 ◽  
Vol 7 (3) ◽  
pp. 324-342 ◽  
Author(s):  
Leopoldo Gutierrez-Gutierrez ◽  
Sander de Leeuw ◽  
Ruud Dubbers

Purpose This paper aims to analyze the application of Lean Six Sigma (LSS) framework for supporting continuous improvement (CI) in logistics services. Both the lean philosophy and the Six Sigma methodology have become two of the most important initiatives for CI in organizations. The combination of both alternatives – LSS – brings significant benefits for companies applying this method, and its influence in logistics services can be relevant. Design/methodology/approach A case study on the logistics services of a large consumer electronics company is performed. In this sector, high quality in logistics services is crucial. Using within-case and cross-case analyses, the paper discusses the implementation of LSS in two internal logistics processes. Findings The paper identifies important implementation aspects when applying LSS to logistics services, such as CI structure, strategic analysis, cross-functional teams and process management. Furthermore, the paper discusses the potential in logistics services of the DMAIC (define, measure, analyze, improve and control) approach and tools such as value stream mapping, SIPOC (supplier, input, process, output, and customer) and process mapping. Practical implications The paper analyzes two logistics processes where LSS has been applied – a payment process and a request-to-ship process. The analysis of both processes offers relevant information about organizational implementation in a logistics services environment about process improvement and about the use of LSS tools. Originality/value First, this paper addresses the gap in literature about LSS and logistics’ activities. Furthermore, the case company, with more than 9,000 employees and distributing its products to more than 100 countries, constitutes a valuable source of information to obtain insights into the implications of implementing LSS in logistics services.


2018 ◽  
Vol 19 (19) ◽  
pp. 10-15 ◽  
Author(s):  
Kamila Kowalik

Abstract The objective of the analysis conducted and described in this paper has been to present the practical application of the Six Sigma method based on the DMAIC cycle in improving the quality of the service process. The first part of the article contains the theoretical framework of six sigma and the issue of using its tools in the aspect of services. Afterwards, there has been calculated the initial sigma value which indicated the need for improvement. Measurement phase has been developed by the value stream mapping, process FMEA and customer survey which results have been analyzed in Pareto chart and fishbone diagram. Improve phase includes the Impact&Effort Matrix and target sigma level that can be achieved as a result of failures reducing and service quality improvement.


2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Muhammad Kholil ◽  
Adizty Suparno ◽  
Sulaiman Bin H Hasan ◽  
Muhammad Rizki

The Company IM is a manufacturing company that produces two-wheeled automotive spare parts. One of the products currently being supplied to several two-wheeled customers is the disc brake, rear sprocket, and drive sprocket. The opportunity to increase production output adjusted to high customer demand can be done by reducing waste activities. Therefore, an approach with a lean six sigma approach is needed using the integration method of DMAIC (Define, Measure, Analyze, Improve, and Control), VSM (Value Stream Mapping), and VALSAT. This study aims to reduce production waste and reduce cycle time, affecting increasing production output to balance according to customer needs. Waste identification is explained in the Define stage at DMAIC using a big mapping image in Value Stream Mapping. A more in-depth analysis is carried out using the VALSAT tools at the Analyze stage supported by WRM and WAQ questionnaire data. The Analyze stage was then carried out by analyze using the FMEA method. Control is carried out by standardization and outreach to employees. This study aims to identify and reduce the waste in the production area, especially line-cutting disks. Based on the integration results of lean six sigma with the DMAIC, VSM, and VALSAT methods, the efficiency is obtained from 72% to 96%.


2019 ◽  
Vol 23 (3) ◽  
pp. 103 ◽  
Author(s):  
António M.H. Pereira ◽  
Miguel R. Silva ◽  
Mercedes A.G. Domingues ◽  
José C. Sá

<p><strong>Purpose:</strong> The purpose of this article is to explore the optimization of internal process is assumed as a critical factor to be capable of answering to the moulds industries. Consequently, it has been considered essential to adopt high-valued methodologies to support tooling industry in order to achieve global competitive advantages. For that purpose, this work aims to apply LEAN principles and techniques to support mould design and manufacturing processes.</p><p><strong>Methodology/Approach:</strong> The methodology used was based on PDCA/DMAIC, with the following stages: Define, Measure, Analyze, Improve and Control. For each stages was taken some of Lean Six Sigma techniques, such as Continuous Improvement, Value Stream Mapping, Pareto analysis and Overall Equipment Effectiveness.</p><p><strong>Findings:</strong> This study results was revealed that there are many areas on the organizations in the Mould Industry, when they utilize otimizations tools obtain hugt successes. With the Pareto analysis was carried out to show that events that contributes the most to the stops. The results were: unavailability of the operator (16.4%), programming the machine (14.4%) and tool exchange (12.4%) In the case of this Mould Industry study was obtained for the CNC machines studies, with the implementation of Lean Six Sigma tools as obtained a improvement about 20% of global OEE.</p><p><strong>Research Limitation/implication:</strong> This research was revealed that there the moulds are Project unique and difficult to analyze. Moreover, this paper reports that the approach LEAN Six Sigma is very interesting for the continuous improvement of processes and profitability of moulds industry.</p><strong>Originality/Value of paper:</strong> This research highlight areas of future research using of quality management methods and Lean Six Sigma tools to analyse and optimize production in the moulds industry. Therefore this research It is considered to promote and adopt high-valued methodologies to support tooling industry in order to achieve global competitive advantages.


2021 ◽  
Author(s):  
Ebrahim A. El‐Desouky ◽  
Ahmed M. Abdel‐Raoof ◽  
Ashraf Abdel‐Fattah ◽  
Ahmed Abdel‐Zaher ◽  
Ayman O. E. Osman ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yugowati Praharsi ◽  
Mohammad Abu Jami’in ◽  
Gaguk Suhardjito ◽  
Hui Ming Wee

Purpose This study aims to apply a Lean Six Sigma framework to support continuous improvement in the maritime industry (shipbuilding, logistics services and shipping companies) during COVID-19 pandemics. By applying the concepts of Lean Six Sigma and supply chain resilience, the most suitable continuous improvement method for the maritime industry is developed to maintain a resilient supply chain during COVID-19. Design/methodology/approach A specific shipbuilding, logistics services and shipping company in Indonesia is chosen as the research object. The Lean Six Sigma framework reveals the wastes through the supply chain resilience concept, and implements internal business processes to maintain optimal system performance. Findings The paper identifies important implementation aspects in applying Lean Six Sigma to shipbuilding, logistics services and shipping. The DMAIC (define, measure, analyze, improve and control) approach is applied to achieve supply chain resilience. Resilient measures are generated for the case companies to maximize performance during the pandemics. Practical implications This paper provides a new insight for integrating Lean Six Sigma and resilience strategies in the maritime industry during COVID-19 disruptions. The authors provide some insights to sustain the performance of the maritime industries under study. Originality/value This study is part of the first research in the maritime industry that focuses on continuous improvement during COVID-19 using Lean Six Sigma and supply chain resilience.


2018 ◽  
Vol 2 (3) ◽  
pp. 135-138 ◽  
Author(s):  
Susanne Schmidt ◽  
Laura Aubree Shay ◽  
Can Saygin ◽  
Hung-da Wan ◽  
Karen Schulz ◽  
...  

Each year our Clinical and Translational Science Award pilot projects program awards approximately $500,000 in translational pilot funding to advance health in South Texas. We identified needs to improve the timeliness, transparency, and efficiency of the review process by surveying applicants. Lean six sigma methodologies, following a “Define, Measure, Analyze, Improve, Control” approach, were used to streamline the pilot project application and review by identifying and removing bottlenecks from process flows. We evaluated the impact of our reorganized review process by surveying applicants and reviewers. Process mapping identified pilot project review as the main source of delay, leading to the implementation of a study section-style review mechanism. After one cycle, 90.3% of pilot applicants and 100% of reviewers were highly satisfied with the new processes and time to award notice was reduced by 2 months. All reviewers familiar with both review processes preferred the study section. We demonstrated how lean six sigma, a methodology not commonly applied in research administration, can be used to evaluate processes in translational science in academic health centers. Through our efforts, we were able to improve timeliness, transparency, and efficiency of the review process.


Author(s):  
Semra Birgün ◽  
Sudi Apak

The aim of the present study is to develop a model for the integration of lean thinking into the corporate loan process with a special focus on the utilization of the value stream mapping technique. In line with this aim the study proposes a three-legged model specifically for the corporate loan processes of banks in Turkey as a developing country pursuing to integrate into the global financial world. The three dimensions included in the model are operational dimension, staff dimension and customer experience dimension. The study argues that by applying the proposed model based on the lean six sigma approach, banks can achieve and sustain a high level of improvement that would increase speed, value creation, cost-efficiency, profitability and customer satisfaction and reduce waste, processing time and effort, duplication and prolonging of transactions, redundancies, risks and errors in the whole corporate loan process.


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